Image-based reporting for bronchoscopy.

Bronchoscopy is often performed for staging lung cancer. The recent development of multidetector computed tomography (MDCT) scanners and ultrathin bronchoscopes now enable the bronchoscopic biopsy and treatment of peripheral diagnostic regions of interest (ROIs). Because these ROIs are often located...

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Publicado en:Journal of Digital Imaging Vol. 23; no. 1; pp. 39 - 51
Autores principales: Yu K, Gibbs JD, Graham MW, Higgins WE
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Springer Nature Feb2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2010
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      pub: Springer Nature
      place: New York, New York
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        atl: Image-based reporting for bronchoscopy.
      aug:
        au:
          Yu K
          Gibbs JD
          Graham MW
          Higgins WE
        affil: Endographics Imaging Systems, State College, PA 16801, USA
      sug:
        subj:
          Bronchoscopy Methods
          Diagnosis, Computer Assisted Methods
          Reports Utilization
          Virtual Reality
          Automation
          Evaluation Research
          Funding Source
          Human
          Lung Neoplasms Diagnosis
          Software
      ab: Bronchoscopy is often performed for staging lung cancer. The recent development of multidetector computed tomography (MDCT) scanners and ultrathin bronchoscopes now enable the bronchoscopic biopsy and treatment of peripheral diagnostic regions of interest (ROIs). Because these ROIs are often located several generations within the airway tree, careful planning and interpretation of the bronchoscopic route is required prior to a procedure. The current practice for planning bronchoscopic procedures, however, is difficult, error prone, and time consuming. To alleviate these issues, we propose a method for producing and previewing reports for bronchoscopic procedures using patient-specific MDCT chest scans. The reports provide quantitative data about the bronchoscopic routes and both static and dynamic previews of the proper airway route. The previews consist of virtual bronchoscopic endoluminal renderings along the route and three-dimensional cues for a final biopsy site. The reports require little storage space and computational resources, enabling physicians to view the reports on a portable tablet PC. To evaluate the efficacy of the reporting system, we have generated reports for 22 patients in a human lung cancer patient pilot study. For 17 of these patients, we used the reports in conjunction with live image-based bronchoscopic guidance to direct physicians to central chest and peripheral ROIs for subsequent diagnostic evaluation. Our experience shows that the tool enabled useful procedure preview and an effective means for planning strategy prior to a live bronchoscopy.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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